Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:317
  • Home
  • Print this page
  • Email this page
Year : 2015  |  Volume : 29  |  Issue : 2  |  Page : 64-72

Efficacy of transforaminal epidural steroid injection versus intraforaminal or periforaminal ozone for low back pain with radiculopathy

1 Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu, India
2 Assistant Professor, College of Medicine and JNM Hospital, WBUHS, Kolkata, India
3 Consultant and Director, Daradia Pain Clinic and Institute, Kolkata, India
4 Assistant Professor, Balaji Medical College, Chennai, India
5 Consultant Pain Physician, Sanjivini Super Speciality Hospital, Ahmedabad, Gujurat, India
6 Consultant, KPC Medical College, Kolkata, India

Correspondence Address:
Dr. Jerry Joseph Joel
Department of Anesthesia, Christian Medical College, Vellore - 632 002, Tamil Nadu
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-5333.155172

Rights and Permissions

To compare the effectiveness of transforaminal epidural steroid injection (TFESI) vs Periforaminal ozone in low back pain with radiculopathy. Literature search was done from MEDLINE and PUBMED sites. Observational studies in both steroid and ozone groups clearly favouring each other whereas there was a significant difference between the RCT's in either group. 3 RCT's out of 4 favouring ozone treatment whereas only 2 out of 8 RCT's were in favour of epidural steroids. Comparison studies showed results more in favour of combined steroid and ozone. 2 RCT's and 1 observational study were in favour of combined ozone and steroid whereas 2 RCT's favoured ozone better than steroid and ozone. Currently studies have shown epidural steroids to be effective in inflammatory origin of pain as its proven by its short duration of action whereas ozone was shown to be effective in both short and long term mainly because of its anti inflammatory action which took care of the short term pain and its ability to denature the proteins of disc material and correct the underlying pathology resulting in effective long term relief. Studies have also shown cumulative effects of ozone and epidural steroids and we would recommend a careful selection of patients for ozone or steroid to increase the success rate and further studies would be needed to know their true potential in low back pain due to radiculopathy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded526    
    Comments [Add]    

Recommend this journal